Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate s

Provides physical therapy services and interventions under the direction and supervision of a physical therapist and in accordance with the physician approved plan of care. Observes, records and reports the patient's response to treatment and any change in the patient's condition to the supervising PT, physician and other appropriate clinical staff. Provides resources for

Responsible for starting the patient's care, including nursing assessment, medication reconciliation, safety assessments and implementing standardized protocols. Administers prescribed medications (typically intravenously), obtains blood samples, inserts foley catheters and provides therapeutic interventions. Educates patient on how to manage their illness, prescribed med

Provides a comprehensive patient examination / evaluation at the initial visit upon receipt of referral and develops a patient centered physical therapy plan of care in collaboration with the physician. Ensures the plan of care addresses all problems identified in the assessment or documents rationale if identified problems are not addressed in the plan of care. Reassesse

Lead a team of RNs who are responsible for delivering direct high acuity care to patients in home recovery care . Oversees daily clinical and field operations , including direct supervision and in home shadow visits with the RN team. Works closely with the recovery care coordinators and leader s to facilitate communication and coordination between all members of the care

Assists the patient and family with health related financial, social and emotional concerns and assists with effective coping skills. Provides social work services in accordance with the plan of care. Ensures that changes in the patient's clinical status are communicated to other healthcare team members and the care center office staff in a timely manner. Educates the pat

Educates health care professionals, patients, and families about home care services. Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads. Coordinates patient admissions with the team, including obtaining all required documentation to complete referral to admission process. Conducts on sit

Demonstrates competency in skills required by the agency for patient care. Has received specialty program education and has completed satisfactory competency. Communicates significant findings, problems, changes in condition or environment to the clinical manager/physician and other members of the hospice care team. Assesses and reassesses physical, environmental and emot

Educates health care professionals, patients, and families about home care services. Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads. Coordinates patient admissions with the team, including obtaining all required documentation to complete referral to admission process. Conducts on sit

Provides palliative care for residents in their home or clinical setting in collaboration with physicians and/or medical directors in conformance with any protocols or guidelines established by or with the collaborating physician, where required by state and/or federal law. Performs medically necessary assessments meeting the requirements of Medicare Part B, Evaluation an

Performs initial nursing assessment on new admissions. Completes , coordinates and revises the total plan of care and maintains continuity of patient care by collaborating with appropriate staff. Regularly communicates patient progress to the clinical manager, physician and care team. Develops, prepares, and maintains individualized patient care progress records with accu

Performs patient assessments and collaborates with the care team to develop and implement a plan of care. Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so. Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate s

Works directly with the patient and their providers for a full 30 days to allow patients to receive acute care in the comfort of their own homes, in lieu of an inpatient setting . Possesses clinical knowledge and experience to identify, present and discuss potential patients to providers for program inclusion. These direct discussions usually include ED providers and hosp

Assists the patient and family with health related financial, social and emotional concerns and assists with effective coping skills. Provides social work services in accordance with the plan of care. Ensures that changes in the patient's clinical status are communicated to other healthcare team members and the care center office staff in a timely manner. Educates the pat

Assist and counsel hospice patients and families with health related financial, social and emotional concerns according to the physician's orders. Provides social work services, under medical supervision, in accordance with the patient's Plan of Care. Demonstrates competency in skills required by the care center. Assists the physician and other members of the hospice team